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Deficiency Records for Clearstream Rehabilitation and Nursing Center
A list of the most recent deficiencies for Clearstream Rehabilitation and Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Clearstream Rehabilitation and Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-25 | 2024-07-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-25 | 2024-07-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-25 | 2024-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-25 | 2024-07-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-25 | 2024-07-15 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-03-26 | 2024-04-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-26 | 2024-04-12 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-26 | 2024-04-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-26 | 2024-04-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-26 | 2024-04-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-26 | 2024-04-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-26 | 2024-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-26 | 2024-04-12 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-26 | 2024-04-12 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-03-26 | 2024-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-26 | 2024-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-26 | 2024-04-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-25 | 2024-04-12 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-03-25 | 2024-04-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-03-25 | 2024-04-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-25 | 2024-04-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-25 | 2024-04-12 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-04-26 | 2023-05-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-26 | 2023-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-26 | 2023-05-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-26 | 2023-05-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-26 | 2023-05-24 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-04-26 | 2023-05-24 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-26 | 2023-05-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-26 | 2023-05-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-04-24 | 2023-05-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-24 | 2023-05-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-24 | 2023-05-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-24 | 2023-05-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-24 | 2023-05-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-11 | 2022-02-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-01-11 | 2022-02-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-11 | 2022-02-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-01-11 | 2022-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-11 | 2022-02-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-11 | 2022-02-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-13 | 2022-02-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-01-13 | 2022-02-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-01-13 | 2022-02-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-13 | 2022-02-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-13 | 2022-02-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-02-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-13 | 2022-02-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-10-27 | 2021-11-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-27 | 2021-11-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-27 | 2021-11-16 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-10-27 | 2021-11-16 | Y |
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